Anterior tibial artery pseudoaneurysm due to interlocking bolt of tibial nail: A case report and review

Vascular injuries associated with the tibial nailing have been reported in few case reports. We here reporta unique case of anterior tibial artery (ATA) pseudoaneurysm caused by the second proximal coronalinterlocking bolt. We found that the position of interlocking bolts on the nail brings them very close tothe anatomical positions of arteries in leg. The reports of ATA injury by interlocking bolts highlight theneed for reconsidering the nail design and screw hole positions.© 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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Bono CM, Sirkin M, Sabatino CT, Reilly MC, Tarkin I, Behrens FF. Neurovascular and tendinous damage with placement of anteroposterior distal locking bolts in the tibia. J Orthop Trauma. 2003 Nov- Dec;17(10):677e682. PubMed PMID:

Han KJ, Won YY, Khang SY. Pseudoaneurysm after tibial nailing. Clin Orthop Relat Res. 2004 Jan;418:209e212. PubMed PMID: 15043118.

Hussain W, Balach T, Leland JM. Vascular injury involving proximal medial-to- lateral oblique locking screw insertion in tibial intramedullary nailing. Acta Orthop Belg. 2011 Jun;77(3):414e418. PubMed PMID: 21846016.

Inamdar D, Alagappan M, Shyam L, Devadoss S, Devadoss A. Pseudoaneurysm of anterior tibial artery following tibial nailing: a case report. J Orthop Surg (Hong Kong). 2005 Aug;13(2):186e189. PubMed PMID: 16131685.

Mehta S, Cumins C, Milgram R. Anterior tibial artery impingement by a distal interlocking screw: a case report. Univ Pa Orthop J. 2003;16:35e37.

Shetty AA, Tindall AJ, Qureshi F, Divekar M, Fernando KW. The effect of knee flexion on the popliteal artery and its surgical signiŞcance. J Bone Jt Surg Br. Mar;85(2):218e222. PubMed PMID: 12678356.

Urban Jr WP, Tornetta 3rd P. Vascular compromise after intramedullary nailingof the tibia: a case report.J Trauma. 1995 May;38(5):804e807. PubMed PMID:7760413.

pencer FC, Imparato AM. In: Schwartz SI, Lillehei RC, Shires GT, Spencer FC,Storer EH, eds.Peripheral Arterial Disease. 2nd ed. New York: McGraw Hill;1969.

Vincent GM, Stanish WD. False aneurysm after arthroscopic meniscectomy. A report of two cases. J Bone Jt Surg Am. 1990 Jun;72(5):770e772. PubMed PMID:

Biermann R, Novak M. False aneurysm of the anterior tibial artery as a sequela of complicated foreleg fracture. Rozhl Chir. 1990 Jun;69(6):396e400. PubMed PMID: 2237656. Anaeurysma spurium arteria tibialis anterior ako nasledok komplikovanej zlomeniny kosti predkolenia.

Braito W, Montanari C, Caracciolo F, Paroni G, Domenella G. False aneurysm of the anterior tibial artery in lower leg fractures treated with the Ilizarov externalŞxator. Case report. Ital J Orthop Traumatol. 1992;18(1):135e139. PubMed PMID: 1399529.

Crellin RQ, Tsapogas MJ. Traumatic aneurysm of the anterior tibial artery. Report of a case. J Bone Jt Surg Br. 1963 Feb;45-B:142e144. PubMed PMID:

Salgado CJ, Mukherjee D, Quist MA, Cero S. Anterior tibial artery pseudoa- neurysm after ankle arthroscopy. Cardiovasc Surg. 1998 Dec;6(6):604e606. PubMed PMID: 10395264.

Starling S, Ellis H. Gray's Anatomy. The Anatomical Basis of Clinical Practice. Edinburgh: Churchill Livingstone; 2005.

Tindall AJ, Shetty AA, James KD, Middleton A, Fernando KW. Prevalence and surgical signiŞcance of a high-origin anterior tibial artery. J Orthop Surg (Hong Kong). 2006 Apr;14(1):13e16. PubMed PMID: 16598080.

Day CP, Orme R. Popliteal artery branching patternse an angiographic study. Clin Radiol. 2006 Aug;61(8):696e699. PubMed PMID: 16843754.

Suri T, Dabas V, Sural S, Dhal A. Pseudoaneurysm of the anterior tibial artery: a rare complication of proximal tibial steinman pin insertion. Indian J Orthop. 2011

Mar;45(2):178e180. PubMed PMID: 21430875. Pubmed Central PMCID: 3051127.

Yildiz S, Yazar F, Ozan H. A high-origin anterior tibial artery and its current clinical importance. Int J Anat Var. 2010;3:180e182.

Williamson DM, Kershaw CJ. Serious vascular complication of locked tibial nailing. Injury. 1989 Sep;20(5):310e312. PubMed PMID: 2613323.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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